Table 3.

Association between components of the ACS guidelines score and mortality in men

All-cause mortalityCVD mortalityCancer mortality
nRR (95% CI)aPtrendbnRR (95% CI)aPtrendbnRR (95% CI)aPtrendb
BMI, kg/m2
 (0) ≥30 at 1 or both time points (referent)1,9341.00 (-)7581.00 (-)6021.00 (-)
 (1) Other combinations5,5870.74 (0.70–0.78)20100.66 (0.61–0.72)18240.81 (0.74–0.89)
 (2) 18.5–24.9 in 1982 and 19922,8480.70 (0.66–0.74)<0.00018980.52 (0.47–0.58)<0.00018920.77 (0.69–0.85)<0.0001
Recreational physical activity, MET-h/wk
 (0) <8.75 (referent)5,3831.00 (-)19371.00 (-)16311.00 (-)
 (1) 8.75–<17.52,0990.89 (0.85–0.94)7200.85 (0.78–0.93)7031.00 (0.91–1.09)
 (2) 17.5+2,8870.87 (0.83–0.91)<0.000110090.84 (0.78–0.91)<0.00019841.00 (0.92–1.08)0.9
Alcohol intake, drinks/d
 (0) >2 (referent)1,4521.00 (-)4631.00 (-)5361.00 (-)
 (1) Nondrinker3,9741.07 (1.00–1.13)14811.17 (1.05–1.30)10830.85 (0.76–0.94)
 (2) Drinker of ≤24,9430.86 (0.81–0.92)<0.000117220.92 (0.83–1.02)<0.000116990.83 (0.75–0.91)0.0008
Healthy diet score
 (0) <3 (referent)2,5441.00 (-)8591.00 (-)8591.00 (-)
 (1) 3–<63,3270.90 (0.86–0.95)11730.93 (0.85–1.02)10720.89 (0.81–0.98)
 (2) 6+4,4980.89 (0.84–0.93)<0.000116340.93 (0.86–1.02)0.213870.86 (0.78–0.94)0.001
  • aRelative risk and 95% CI. Multivariate model adjusted for age, smoking status [never, years since quitting (≤5, >5–10, >10–15, >15–20, >20–25, >25, unknown], education (less than high school/high school graduate/some college or trade school/college graduate), and all other risk factors included in the table.

  • bP value for trend calculated by assigning an ordinal value to each category and modeling as a continuous variable.